title: Management of tumour spillage during parotid surgery for pleomorphic adenoma.
abstract: Over the decades parotid surgery for benign tumours has developed into a reproducible, conservative operation with low morbidity. Despite the advances tumour spillage can still occur, and its management remains controversial. Since no universal consensus exists the aim of this article is to review the approach to tumour spillage and derive a protocol for its management based on existing evidence.
authors.affiliation: Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3 6JJ, United Kingdom. Electronic address: c.kerawala@googlemail.com.
authors.forename: Cyrus
authors.initials: C
authors.lastname: Kerawala
authors.affiliation: Queen Alexandra Hospital, Portsmouth, United Kingdom.
authors.forename: Peter A
authors.initials: PA
authors.lastname: Brennan
authors.affiliation: North West London Hospitals NHS Trust, Northwick Park Hospital, London, United Kingdom.
authors.forename: Luke
authors.initials: L
authors.lastname: Cascarini
authors.affiliation: Gloucester Royal Hospital, Great Western Hospital, Gloucestershire, United Kingdom.
authors.forename: Darryl
authors.initials: D
authors.lastname: Godden
authors.affiliation: Queen Victoria Hospital, East Grinstead, United Kingdom.
authors.forename: Darryl
authors.initials: D
authors.lastname: Coombes
authors.affiliation: Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom.
authors.forename: Jim
authors.initials: J
authors.lastname: McCaul
mesh_terms: D008949:Adenoma, Pleomorphic / Q000473:pathology / Q000601:surgery*; D002985:Clinical Protocols; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control; D009366:Neoplasm Seeding; D010307:Parotid Neoplasms / Q000601:surgery*; D012422:Rupture, Spontaneous
keywords: Parotid surgery; Pleomorphic adenoma; Tumour spillage